Tag Archives: suicidality

World Mental Health Day

This is going to be negative but I don’t care as it is my lived experience: I’ve been in therapy since I was 15 because I self-harmed. Seen a wide range of therapists from social workers to psychologists to psychiatrists. Most have ended treatment with me for various reasons. I am now on therapist number 14. First 6 months I didn’t think I was going to stay with him. He is a psychologist with supposed experience with trauma and suicidal ideation. He took me on knowing this. Now since the MeToo, I’ve been having intrusive memories. I tell him about it and he shrugs. Seriously? Why am I seeing you if you don’t know how to deal with trauma when you said you had training? I feel like the system has let me down, yet again.

Before I even saw him, I must have talked to at least 5 different therapists. None would take me on because of my suicidal history. I thought I could shove it aside and just have this guy because he returned my call and wanted to work with me. Now it is a year later and I am finding it so difficult to deal with him. I am once again looking for therapists and I am wondering why. I live in a large city. There shouldn’t be just 1 therapist in my 5 mile radius that deals with suicidal histories. Suicide is its own can of worms. I understand from a suicidologist standpoint. Not everyone is cut out to deal, it isn’t taught in school yada yada. I get it. But where is the compassion in therapy? Are too many good therapists burned out? Am I ever going to find someone to help me through suicidal crisis and chronic pain and all the other shit I deal with? Or is that too much because I don’t follow god or help myself?

About Therapists

About therapists

I have been thinking about writing this for a while, just an overview about the many therapists I have had from all different degrees and orientations. I started off seeing a school counselor. She was getting her degree in counseling, though I am not sure if it was as a school counselor or a social worker. We only saw each other for a few months and then when school started again, I started seeing a social worker that worked at another school. She was good. Had the idea that I shouldn’t use drugs or alcohol. We had a “safety contract”, which my first 10 or so did. It mostly said I wouldn’t kill myself until the next meeting and if I did feel like acting to go to the emergency room or call 911. I only saw her for about 10 months. She left and I saw someone new, a person who was also seeking their degree. I basically feel like she took advantage of me and was only interested in collecting my insurance. Nothing got worked on. I was hospitalized every three months, the last one was when I came out as “gay”. Transgender was never talked about with any therapist until the one I saw prior to my current therapist.

As I had state insurance, therapists were coming and going. By the 10th one, I was tired of them leaving so I left the system for private as I then had private insurance. Only problem was that this therapist didn’t take my insurance. When I switched in 2001, we saw each other for a month before my disc blew and then I didn’t see her again for another three months. We kept in touch by phone. It was a lot to go through. I didn’t talk about my psych issues as I just had my physical health jeopardized. We worked together for sixteen years. All throughout, I was suicidal. But I had the odd hospitalization because we worked on stabilizing using frequent contact. We saw each other sometimes three times a week when I was bad. Then we saw each other twice a week. She moved offices until she moved 30 miles away from Boston. It was tough because I didn’t have a car. I did but it broke down. We just had phone therapy. This went on for about five years. I would get a zipcar once a month to see her but that took some planning around my pain and weather.

The suicidal ideation I had made my therapist nervous. We tried different things, but she never consistently held me to them. I chided away from it because I knew what she was looking for or rather had an idea. I knew it wasn’t going to change. During the last year of therapy we had, we were constantly fighting over my suicidality. She just wasn’t listening to me anymore. I couldn’t explain why I was suicidal. I just mentioned it and she would “hog” the rest of the session with her endless talk, which I just took as her anxiety. It was interfering. I found out she was seeking consultation over me and I felt threatened by that. Eventually we just called it quits. I didn’t see anyone for few months. I had to collect myself. She gave me a few therapists but they weren’t taking on new clients.
Enter my current therapist. He had called back within a few hours of me leaving a message and we had set a time up with in a few days. He sent me his paperwork and other insurance stuff. All throughout seeing the previous therapist, we had tried different suicidal safety planning and scales and whatnots. This guy was not for it. I think the less paperwork, the better. And it bugs me! He just wants to talk things out. For the first six months I didn’t know if this was going to work out. But I had no where else to go. I was tired of searching for therapists only to be told no when I revealed I had a suicidal history. He wasn’t afraid of me talking about suicide and I ease up. Even when I told him I had a plan, he didn’t freak out on me. He understood why I felt that way and we talked it out. It decreased my feelings so I didn’t feel like no one was on my side. I often felt better after sessions but there were a few where I was more frustrated. I texted him a few times and got supportive responses, something my previous therapist did not do, at all. She only responded if we had to change appointment times.

I have been seeing this guy for 16 months. I still find it totally weird that we have an understanding of why I am suicidal yet there is no plan in place, so to speak. He is okay if I live and okay if I die, as long as I don’t do it in his office. He hasn’t taught me things I don’t already know. He would like me to be more social, but that is kind of hard with my physical pain. I like being alone anyway as noise can irritate me, like it is today. Hell, just being in Starbucks when their music is loud is enough to have me leave after I finish eating or when I am ready to write. He doesn’t try to pin things down and my biggest annoyance is when he says we will work on something but doesn’t go further than that. And then when I bring it up next session (I have to bring things up, he won’t), it still doesn’t go anywhere. But I have had that happen with the last therapist I saw, too. She would say we need to work on this and we never did.

I don’t mean to write this to defer you from seeking therapy, that isn’t my goal. I just wanted to write about my experiences with therapists and how they react to suicidal thoughts. Everyone is different. And maybe you started seeing a therapist and then the suicide thoughts started happening. The therapist freaks out and you are then forced to see someone else. Or you attempted and now the therapist doesn’t want to work with you anymore. That is sad and unfortunate but I know it does happen. Suicide is like an elephant (or hippo as someone called it that the other day) in the room that you both know is there but don’t want to face. Or maybe your therapist is trained and does work with you on the issues as long as there is a safety plan in place first with contact numbers and you collaborate on what will work and what will not work. The focus has to be on YOU not the therapist’s comfort level. While my therapist does that and gives me the time to try and work things out as well as support me in any way he can, I still sometimes feel like he just doesn’t get it or dropped the ball on an issue that is never going to see light of day again. I know they are busy people. They have lives outside the office. They see so many patients per day and then deal with the wonderful insurance that can or cannot accept their claims. I don’t know. I am not making excuses for them but if you have a therapist that cares about you and takes your suicidal thoughts seriously, works with you on keeping you safe, and the chronicity of the matter, great. I just am still trying to work with someone and cope with a therapist that says you can kill yourself as long as it isn’t in my office.

Still emotional, thanks gender dysphoria

My pcp is still a dickhead. I asked him if he would fill my female hormones and his nurse said sure what is it. I answered now I have to see the repro endo doc. He doesn’t want to do it. Fucking asshole. I’m still a wreck from yesterday and hate, absolutely HATE having to still take these hormones because my Testosterone therapy got pushed back because of him. Almost a year now he has been dicking me around, one thing after another. I am so sick of it. Am I supposed to just see him for cough and colds? It is looking that way. I don’t need a referral for my insurance so if I want to see a specialist, I am just going to. No point in seeing him first. Just a waste of time I could use to make an appt with the specialist.

Saw the pain program doc today. He is okay. Can’t comment more as all he did was repeat my medical history and type really fast. He wants me to continue to see my pain doc and I told him I might not as he is reluctant to increase my meds to give me some quality of life. How I am supposed to work in this program with horrendous pain, I have no clue. I also need to get a PT eval for my thigh as the program PT is 2 months away. I can’t wait that long. I am going to email my current PT and see what she says but I don’t think I can see two PTs at once. So fucking frustrating.

I had to make a pit stop to the Square because the bus that would take me home was longer than the bus to the square. I don’t care, though my sprain ankle is hurting. I didn’t wear the brace because I didn’t want to be bothered taking off two braces. I’m wearing 2 different sneaks and don’t fucking care.

I had a snickers latte today because I need it goddamn it!! Also had something to eat because of the emotional stuff. I feel better now. I need some protein bars. Getting irrational when I don’t eat is getting more frequent. Hope my diabetes test comes back within normal limits. My psych ordered it but I haven’t had a chance to get it drawn yet. Might get it done tomorrow if I am not up at the crack of dawn. My therapist is back from vaca. I see him tomorrow and I can’t wait. Got a lot to talk about.

My mother needed some things today so as I am out, I got to get them for her. I am going by that way so no big deal. I will get some protein bars with her cash as I am broke until tomorrow.

When i see my psych next i am going to ask her if i can go back to the LGBT clinic for T therapy. I just hope i don’t have to start the whole process over. It will send me over the fucking edge.

CRPS Unpredictability

About 45 minutes ago, I have no idea what I did. I was in my normal fetal position with my feet on top of one another. I moved my bad CRPS foot into the curve of my good ankle and it felt like I was trying to snap it in half. I cried. I screamed OW. No one would hear me. My mother was knocked out. I tried to remain still but that just made the pain worse. I had to sit up and take a BT med. Carefully I maneuvered my feet so I could turn to sit up. Pain was all over my ankle and foot. I didn’t want to live anymore. What would be the point? More pain?

I posted on social media that I wanted to blog but I couldn’t find the words. All I could think to say was I am in pain. I posted why can’t I end it? Why? A few friends responded. I got a phone call from my cousin in Texas. I didn’t answer. I didn’t want to talk. I can’t talk when I am like this. My mind is in the gutter and no one understands. No one gets this pain because they don’t feel it every day like I do.

I posted to my CRPS group. Some of them get it. Some have been where I am. Rain is the only thing stopping me from ending it right now. I don’t care. I am reserving some emergency cash for when I feel like this again and the weather is better. Maybe i won’t go through with it.

I got a lot going on the next few weeks. Don’t know how but I’ve booked an appt nearly every day the last week in August. That is going to kill me and I’ll have to cancel some of those appts.

The thing that bothers me is that aside from doing a few dishes and showering, that is all I did today. I’ve rested most of the day. So why the fuck am I in pain now?? I had put on a sock on the offending limb because it got cold. Now it is hot. I am scared that taking it off is going to cause me more pain. But the sock is irritating me so needs to come off. Fucker

Swear post warning offensive language here in

Swear post warning offensive language here in

So about two hours ago, I was smelling something. Had no idea what the hell it was. I thought maybe a cord was burning, something was catching fire, checked all my wires and electrical stuff. Nothing. I go downstairs to see if my mother sprayed something, and it is coming from the hallway, or so I thought. I went back upstairs. The smell got worse. I decided to open the damn window, screw the storms. I shut the vent or opened it (no idea) on my AC. Then go downstairs again because I had to pee. I check on my mother as her sugar was low. She was fine and then I see the culprit. One of my sisters bought a Renuzit freshener thing that was pineapple and coconut. It was stinking up the house. I shut it, told my mother, put it in the kitchen, and then went back upstairs fucking swearing.

I was talking with my BFF about stuff. I asked if she was okay. She said she was but I knew she was stressed. I won’t go into it but I was glad she told me. I was getting sleepy so I told her goodnight and I will check in with her tomorrow. She said she hopes to sleep too. I lay down, and my fucking legs become stone and hurt like fucking hell. I sit up, take some magnesium as that is the only thing I can think of to calm it down. I shift my position, causing me to move my ankle. Dumb fucking move. I saw fucking stars. Still hurting so fucking bad. I waited, hoping it would settle down. It didn’t. BT med time! I start having anxiety. I am ready to call my fucking psychiatrist, but what the hell is she gonna do? It is fucking midnight. I hate this fucking shit.

All day I have been having body dysmorphia issues. I really hate my breasts. I want top surgery so damn bad. But because of my damn pain issues, I can’t have testosterone treatment, which is delaying the fucking top surgery consults and what not. If I had the money, they would be long gone! I would find a decent surgeon and be done with it. I hate my body. I hate myself more. I feel like I am a fucking idiot who should be fucking dead. My therapist said that it was reasonable that I am thinking about suicide. Who wouldn’t be if they were in my crummy shoes?

I have tried to get my head around it. Someone reported me, again, to Twitter about my talk about suicide. I have no idea what tweet it was as they didn’t tell me. If I did, I don’t remember it. I know I posted last Friday after my pain doc appt. But I don’t think I have posted anything this week. Unless the word itself, suicide, is what freaks people out and makes them report people. I don’t know. They are assholes. If they would talk to me, that would be okay. I don’t know. Sometimes I want to talk and other times, I get the concerned but I don’t know what to do with you people. And it is all fake sometimes. Pisses me off, like bother someone else with you fake sympathy or whatever bullshit you are giving me right now. I know what to do if my safety is in danger. Been down that road one too many times and don’t think that just because I talk about suicide that I don’t know the crisis number or the crisis text number or someone I can call if I feel like I am going to act on my thoughts/feelings. It’s as simple as that. Do I want to end my life, yes I do. Do I want to do it right this second? No. But the time will come when I have all my ducks in a row to execute my plan. I am working with my therapist to kind of break the cycle of overwhelm/end my life thoughts. But until then, I can still plan. It is an escape. You don’t believe me, do research.

I want the meds to work NOW. I don’t want to fucking wait. I am tired of waiting. I used to be a patient person. Now I am realizing being patient, means just that. You are a patient of some kind to someone. The pain doc, psychiatrist, physical therapist, etc. you have to wait to see them. And it fucking sucks. I am tired of waiting. I want treatment now. And dammit, if I don’t get treatment, I am going to die. Maybe not by the damn disease/condition I have, but by other means, which I don’t know exactly what they are. This dying this isn’t easy. Probably is if you have some lethal illness but not a chronic painful one.

I hate that I can’t move my damn ankle the way that it is suppose to move. It gets fucking upset with me. Going down the stairs or up the stairs aggravate it. My right ankle is sprained so it hurts because the tendons are swollen and stretched a little bit more than they are supposed to be. I also walked a lot today. And went up and down the stairs a lot to find out what that fucking smell was that was irritating my respiratory system. Set off my allergies big time. I am sending them a text tomorrow and put it in all caps. That will tell them how fucking pissed off I am. Assholes. I don’t know which sister it was, most likely the middle one but I can’t be sure. They will definitely hear about it later today.